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Brad Weir, BS, EMT-PEdward P. Sloan, MD, MPH,1 Max D. Koenigsberg, MD,1 1 for the DCLHb Traumatic Hemorrhagic Shock Clinical Trial Group 1University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois Emergent Surgical Treatment of Severely Injured Hemorrhagic Shock Patients Enrolled in the EU and US DCLHb Clinical Trials Edward P. Sloan, MD, MPH,1 Max D. Koenigsberg, MD,1 W. Brad Weir, EMT-P, MS31 for the DCLHb Traumatic Hemorrhagic Shock Clinical Trial Group 1Department of Emergency Medicine, University of Illinois at Chicago, Chicago, Illinois 1University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois H1H1N "$| *,9"D "h0(H177,b "hC$T,  8^`"p"PS 622`22l "H" $T,f "H$T,f "H" $T,h "" $T,68:f|2h2dh "|" $T,b "|$T,f "||$T,h "H" $T, FHz|~44b4b4l "mm" $T,f "mm$T,f "m" $T,f "І" $T,0bf "hCC$T,h " " $T,f " " $T,j "  " $T,\^`6f "hCC$T,h "hC" $T,b "hC$T,tt` 6` z+1B8JZvTimes New RomanMangalLatha Angsana NewArialu " "|"(" "t""Ȅ"IF!"c"c"c "c "  """ """ " "|"$" "p""Ȅ"IF!"c"c"c "c "  """ """ "*""" ""LHb Traumatic Hemorrhagic Shock Clinical Trial Group 1Department of Emergency Medicine, University of Illinois at Chicago, Chicago, Illinois 1University of Illinois at Chicago, Depar ՜.+,0    On-screen ShowUniversity of Illinois  Times New RomanArialEder,Conclusions: MOI, Procedures, & Mortality  Fonts UsedDesign Template Slide Titles Oh+'0T `h   $ 0<D,Conclusions: MOI, Procedures, & MortalityDepartment of Emergency Medic, Department of Emergency Medic, 1paMicrosoft PowerPointcy @@T@T9G( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman<&bbv 0b( 0DArialNew Roman<&bbv 0b( 0" ` .  @n?" dd@  @@`` (   `1?`33@B:2___PPT9/ 0? %O =+Conclusions: MOI, Procedures, & Mortality:, 00Procedures associated w/ Blunt MOI: Laparotomy (esp. splenectomy) Orthopedic (all) No association with mortality by procedure Increased overall 48-hr. mortality Procedures associated w/ Penetrating MOI: Vascular No association with mortality by procedure Thoracotomy frequency did not differ by MOI Trend: increased 48-hr. mortality w/ Blunt MOI Increased overall 48-hr. mortality$$ Z}$ Z*$ Z5$ Z,$ ZT$ Z$}*5,T    0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? 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"--h-- jP@"Arial- h.12 MOI, Procedures, & Mortality111vDlbbllDbb112mD;b11;b.--qA -- h@"Arial- (h. 2 8'.@"Arial- h.<2 8#Procedures associated w/ Blunt MOI:K,D>>ED,>> >?>E> >&>DZQDD%_W&.@"Arial- (h. 2 ?.@"Arial- h.32 Laparotomy (esp. splenectomy)D?D>,E%De= %?>D >D >E>?%De>%.@"Arial- (h. 2 `?.@"Arial- h.2 `Orthopedic (all)W,%DED?D> %> %.@"Arial- (h. 2 ?.@"Arial- h.F2 *No association with mortality by procedureQD?>?D> >% DDZ%DdD,%> &= E= D,D?>ED,>.@"Arial- (h. 2 ?.@"Arial- h.%2 Increased overall 48D>,?>?>D E=>->?>. h. 2 7-&. h.2 ] hr. mortalityD,dD,%>&>.@"Arial- (h. 2 '.@"Arial- h.E2 )Procedures associated w/ Penetrating MOI:K,D>>ED,>> >?>E> >&>DZK>D>%,>% ED_W&.@"Arial- (h. 2 ?.@"Arial- h.2 VascularK>>?D>,.@"Arial- (h. 2 D?.@"Arial- h.F2 D&*No association with mortality by procedureQD?>?D> >% DDZ%DdD,%> &= E= D,D?>ED,>.@"Arial- (h. 2 '.@"Arial- h.H2 +Thoracotomy frequency did not differ by MOIEDD,>?D&De=%,?DE>E?= DD DE%D %&>,E=_W.@"Arial- (h. 2 l?.@"Arial- h.%2 lTrend: increased 48E,>DD&D>,?>?>D >?. h. 2 lJ-%. h.02 lohr. mortality w/ Blunt MOI D,dD,%> &=ZQDE%_W.@"Arial- (h. 2 ?.@"Arial- h.%2 Increased overall 48D>,?>?>D E=>->?>. h. 2 7-&. h.2 ] hr. mortalityD,dD,%>&>.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1Pa    yOn-screen ShowUniversity of Illinois  Times New RomanArialSymbolEderConclusions: Time Course  Fonts UsedDesign Template Slide Titles( /0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman bbv 0b( 0DArialNew Roman bbv 0b( 0" DSymbolew Roman bbv 0b( 0 ` .  @n?" dd@  @@`` (   `1?`33@B:2___PPT9/ 0? %O =Conclusions: Time Course< 00 0Minority of pts. entered OR 60 min. after injury (Golden Hour) Pts. % more than tripled after 120 min. Factors affecting Golden Hour EU setting Longer mean total EMS & ED to OR times Blunt MOI Majority were MVA Likely extrication longer EMS time?$ Z($ Z$ Z $ Z'$ Z $ Z7$ Z?(   '   %      0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `|xaxa1 ?"P  T Click to edit Master title style! !N  Zixaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zpxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(  0 0 0(   x  c $C   x  c $8  H  0޽h ? 33a(r@d \0 Oh+'0D `h    ,4Conclusions: Time CourseDepartment of Emergency MedictDepartment of Emergency Medict1paMicrosoft PowerPointcy @@.T@.T-G5_xDepartment of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    y      :"#$%&'()*+,-./0123456789<F>?@ABCDEGHUJKLMNOPQRSTVoXYZ[\]^_`abcdefghijklmnpqtuvwxyz{|}~15% F&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---i -- - @@"Arial0- .2  Conclusions:kk`+k`+kj`5. "--h-- j@@"Arial- h.2  Time Courseu5k5vuKkk.--qA H-- h@"Arial- (h. 2 Fe-.@"Arial- h.F2 F*Minority of pts. entered OR 60 min. after k$NN2#+E$N+$N+G#$FN+G2GN$d\$GF$r#N$$G*+G2#. h.%2 injury (Golden Hour)$N$N2E$+dN$NGN$[NN2+.@"Arial- (h. 2 yG.@"Arial- h.B2 yO'Pts. % more than tripled after 120 min.U+G$%o$rN2G$+NGN$+2$M$GN$F++G1$GFG$r$N$.@"Arial- (h. 2 !e-.@"Arial- h.32 !Factors affecting Golden HourNGG+N2G$G*+GG*$MN$dN$NGM$\NN2.@"Arial- (h. 2 G.@"Arial- h.2 O EU settingU\$GG++$NN.@"Arial- (h. 2 r-.@"Arial- h.92 r!Longer mean total EMS & ED to OR NNNNG2$rGGN$+M*G$$UkU$\$U\$+N#d\$. h.2 times+$rGG.@"Arial- (h. 2 G.@"Arial- h.2 O Blunt MOI\$NN+$jd$.@"Arial- (h. 2 M-.@"Arial- h.!2 MMajority were MVAkG$N2#+E"gG2G#jV[.@"Arial- (h. 2 -.@"Arial- h.$2 Likely extrication N$GG$E$GG+2$GG+$MN#.@Symbol- h. 2 .@"Arial- h.2 longer EMS time$NNNG2$UkU#+$rG.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaOn-screen ShowUniversity of Illinoisi5' Times New RomanArialEder&Results: Surgery & 48-hour Mortality  Fonts UsedDesign Template Slide Titles Oh+'0P `h    ,( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman+bbv 0b( 0DArialNew Roman+bbv 0b( 0" ` .  @n?" dd@  @@`` (8 =8 `1?`33@B:2___PPT9/ 0? %O =%Results: Surgery & 48-hour Mortality:&000  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `X+xaxa1 ?"P + T Click to edit Master title style! !N  ZC)xaxa1 ?" + RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Z )xaxa1 ? @ ) RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   )B  s *޽h ? a(&'  0 &&077 f&(   x  c $ 0  ) #x 0P0    #"*PPPP0P0    B1? P0  O.01 @`   B,1? 0  O3.0 @`   BP1? 0  T10 (16%)   @`   B41? 0  T29 (35%)   @`   BT1?` 0  U 39 (27%)    @`   B<1?0 `0  SOverall @`   B1?0 P  O.15 @`   B1?0   O6.0 @`   B>1?0   U 3 (33%)   @`   B-1? 0   U 6 (75%)   @`   B@r1?`0  U 9 (53%)   @`   B0z1?00 `  W Thoracotomy   @`   B1?P0  O.34 @`   B̉1?0  O2.8 @`   B81?0  U 3 (15%)   @`   B1? 0  U 3 (33%)   @`   B\1?` 0  U 6 (21%)   @`   B1?0`0  \Vascular"  @`   Bf1?P O1.0 @`   BX1? O0.8 @`   BY1? U 1 (10%)   @`   BW1?  V 2 (8%)   @`   Bϻ1?`  V 3 (8%)   @`   B@޻1?0` ^ Orthopedic"   @`   B1?P O.24 @`   B1? O2.2 @`   B1? U 6 (24%)   @`   Bx<1?  T20 (41%)   @`   B<1?`  T26 (35%)   @` !  B<1?0` V Laparotomy   @` "  B8'<1?P Mp @` #  B.<1? POR @` $  B0<1? PPen. @` %  Bt7<1?  QBlunt @` &  BG<1?`  U Mortality   @` '  B(?<1?0` _ Procedure$   @`ZB (  s *1 ?0PZB )  s *1 ?00 P0 ZB *  s *1 ?000 ZB +  s *1 ?PP0 TB ,  c $1 ?``0 TB -  c $1 ?  0 TB .  c $1 ?0 TB /  c $1 ?0 TB 0  c $1 ?0 TB 1  c $1 ?0PTB 2  c $1 ?0PTB 3  c $1 ?0PTB 4  c $1 ?00 P0 TB 5  c $1 ?0 P  6 <Y<1?` : 2 U 7 <,]<1?   Increased 48-hr. mortality among blunt MOI pts., (35% vs. 16%, OR = 3.0, p = .01). Increased mortality among all thoracotomy pts., (59% vs. 24%, OR = 4.5, p = .007).$% 2H  0޽h ? 33a(r@Y   )508@&Results: Surgery & 48-hour MortalityosDepartment of Emergency MedicrtDepartment of Emergency Medicrt1paMicrosoft PowerPointcy @@`T@`T\G5_E5<Department of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW 15%' R&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---i -- - @@"Arial0- .2 Results:k`k+5`5. "---- @@"Arial- .2  Surgery & 48uKukKk56kk. . 2 -@. .2 hour MortalityuvuK6uK@k55@k.&- --) @P -- @"Arial- . 2 m .01>>.--Q @x --  . 2  3.0>>.--y @h--  .2 10 (16%)>> %??b&.--i@X--  .2 u29 (35%)>> %??b&.--Y@0--  .2 M 39 (27%) >> %??b&.--1@--  .2 5OverallX=>,>.--A) P --  . 2 m .15>>.--AQ x --  . 2  6.0>>.--Ay h--  .2 3 (33%)>&>@b%.--AiX--  .2 6 (75%)>&>@b%.--AY0--  .2 9 (53%)>&>@b%.--A1--  .2 5 ThoracotomyEDD,>?D&De=.--) P --  . 2 km .34>>.--Q x --  . 2 k 2.8>>.--y h--  .2 k3 (15%)>&>@b%.--iX--  .2 k3 (33%)>&>@b%.--Y0--  .2 k6 (21%)>&>@b%.--1--  .2 k5VascularK>>?D>,.--) HP --  . 2 m 1.0>>.--Q Hx --  . 2  0.8>>.--y Hh--  .2 1 (10%)>&>@b%.--iHX--  .2 2 (8%)>&?b&.--YH0--  .2 3 (8%)>&?b&.--1H--  .2 5 OrthopedicW,%DED?D>.--I) P --  . 2 m .24>>.--IQ x --  . 2  2.2>>.--Iy h--  .2 6 (24%)>&>@b%.--IiX--  .2 u20 (41%)>> %??b&.--IY0--  .2 M26 (35%)>> %??b&.--I1--  .2 5 LaparotomyD?D>,E%De=.--) P --  . 2 [m pD.--Q x -- @"Arial- . 2 L ORKE.--y h-- @"Arial- . 2 [Pen.K>D.--iX--  .2 [uBluntQDE%.--Y0--  .2 [M Mortality_D,%>&=.--1--  .2 [5 ProcedureK,D>>ED,>.&-  "--%( --&&-  "--%( --&& "--%--&&$ -  "--%( ( --&&-4 "--%00--&&U\ "--%XX--&&el "--%hh--&&u |  "--%x x --&&M T  "--%P P --&&,  "--%( --&&E, L "--%H( H--&&,  "--%( --&&,  "--%( --&&=, D "--%@( @--&&--Y 0-- --|A -- @"Arial- (. 2 {'.@"Arial- .2 {c Increased 48D>,?>?>D >?. . 2 { -%. .=2 {0$hr. mortality among blunt MOI pts., D,dD,%> &= >dDEDD ED%_WD%> . .92 !(35% vs. 16%, OR = 3.0, p = .01).%??b!=> >@bWQ A> >D A?>%.@"Arial- (. 2 '.@"Arial- .R2 c2Increased mortality among all thoracotomy pts., D>,?>?>DdD,&>&>>dEDD >&DD,??D&De=E%> . .:2 R"(59% vs. 24%, OR = 4.5, p = .007).%??b!=> >@bWQ A> >D A?>?%.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1Pa dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    tOn-screen ShowUniversity of IllinoisL   Times New RomanArialEder!Conclusions: Surgical Patients  Fonts UsedDesign Template Slide Titles Oh+'0L `h    (4<!Conclusions: Surgical PatientsMiDepartment of Emergency MedictsDepartment o( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Romanvbbv 0b( 0DArialNew Romanvbbv 0b( 0" ` .  @n?" dd@  @@`` (   `1?`33@B:2___PPT9/ 0? %O = Conclusions: Surgical Patients<! 000Most pts. required emergent surgery Blunt & Pen. 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" dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `xaxa1 ?"P  T Click to edit Master title style! !N  Z8xaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zxxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(  0 0)) .(   x  c $`   x `0    #"*PP`0    B,1?t 0  Y 39 (27%) @`   B1? t0  Y 18 (26%) @`   B1?{ 0  X 21 (28%)   @`   B|1?` {0  U Mortality   @`   B1?t`   [ 9 (6%) @`   B1? ` t  [ 6 (9%) @`   BP1?{`  Z 3 (4%) @`   BT(1?`` {  zAge 658  @`   B,1?t`  s 35.6 + 16.06  @`   B51? t`  s 36.0 + 17.66  @`   BP?1?{ `   35.2 + 14.5F  @`   BPI1?`{`  OAge @`   BQ1?t` Y 82 (56%) @`   B`Y1? `t Y 37 (53%) @`   Bf1?{`  X 45 (59%)   @`   Bh1?``{ U Blunt MOI   @`   Bv1?t` X 146 (67%)   @`   B`y1? t` Y 70 (71%) @`   B1?{ ` X 76 (64%)   @`   B1?`{` Qn (%) @`   BЖ1?t SOverall @`   B 1? t NUS @`   BЦ1?{  NEU @`   B1?`{ QChar. @`ZB   s *1 ?`TB   c $1 ?`TB   c $1 ?```TB   c $1 ?`TB   c $1 ?`` ` TB !  c $1 ?`  ZB "  s *1 ?`0 0 ZB #  s *1 ?``0 TB $  c $1 ?{{0 TB %  c $1 ?  0 TB &  c $1 ?tt0 ZB '  s *1 ?0  ( <P1? ` : 2  ) <1? ` DMVA: 52/82 = 63% Blunt MOI pts. Similar pt. demographics in EU & USB 2%% 2  %$H  0޽h ? 33a(r@ E ;+05_W+Department of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r       !"#$%&'()+./012345789:;=?@ABCDEFGHIJKLMNOQTUVWXYZ[]^_`acefghijklmnopqrstuwz{|}~SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,015%   <&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---A -- - @@"Arial0- .2 Results:k`k+5`5. 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Fonts UsedDesign Template Slide Titles( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman:bbv 0b( 0DArialNew Roman:bbv 0b( 00" ` .  @n?" dd@  @@`` ( %  `1?`33@B:2___PPT9/ 0? %O ="Results: Demographics (All Pts.):#0$0  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      ``xaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(  0 ph0 (   x  c $`   ~p p    #""h`    B1?Z[   Q.05  @`   B,1?[ [ Z  Q58%  @`   BL1?[ [  Q70%  @`   B1?[   Y MOI (Blunt)    @`   B1?Z [  Q.11  @`   B1?[ Z[  Q79%  @`   B1? [ [  Q68%  @`   B1? [  [ Gender (Male)  @`   B\1?Z  Q.17  @`   B\1?[ Z  T39 y/o  @`   B 1?[  T35 y/o  @`   B\1?  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US Trial: Feb.  97  Jan.  98 Enrolled & infused 98 pts. Early study termination DCLHb: Higher 28-day mortality No clear explanation of imbalance,Z,Z,Zw,0Z2  w   0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `zxaxa1 ?"P  T Click to edit Master title style! !N  Z xaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Z0xaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(  0 0 0(   x  c $`P   x  c $`   H  0޽h ? 33a(r@ X P0     , !"#$%&'()*+.=0123456789:;<>?MABCDEFGHIJKLWOPQRSTUVXYZf\]^_`abcdephijklmnoqr}tuvwxyz{|~4<"Results: DCLHb Trials OutcomesMiDepartment of Emergency MedicmeDepartment of Emergency Medicme1paMicrosoft PowerPointcy @@ *xT@ *xT%G5_lDepartment of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW 15% @9&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---)i 0-- - @@"Arial0- .2 HMResults:k`k+5`5. "--cNc-- k\M@@"Arial- c.(2 /MDCLHb Trials Outcomesuu5uK6k5k65u@kvkk.--A p0-- c@"Arial- (c. 2 M-.@"Arial- c.%2 EU Trial: Jul. 97 U\$N2$G#,#$GN#$#$FG$. c. 2 G. c.2 NMay 98kGE$$$GG.@"Arial- (c. 2 G.@"Arial- c.02 7Enrolled & infused 119 pts.UN2N$$GN$\$$M+NFGN$GGG$N+F$.@"Arial- (c. 2 ?M-.@"Arial- c.%2 ?US Trial: Feb. 97 \U$N2$G#,#$NGN#$$FG$. c. 2 ?G. c.2 ?yJan. 98GGN#$$GG.@"Arial- (c. 2 G.@"Arial- c.02 7Enrolled & infused 98 pts. UN2N$$GN$\$$M+NFGN$GG$N+F$$.@"Arial- (c. 2 G.@"Arial- c.+2 7Early study termination UG2%E$G+NOE$+G2r$NG+$NM$.@"Arial- (c. 2 G.@"Arial- c.!2 7DCLHb: Higher 28\\O\N,#$\$NNG2#GG. c. 2 -+. c.2  day mortalityNHE$rN2+G$#+E.@"Arial- (c. 2 G.@"Arial- c.92 7!No clear explanation of imbalance\N$G$GG2$GGN$GNF+$NN$M+#$rNG$GNFG.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1Pa dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,0    qOn-screen ShowUniversity of Illinois  Times New RomanArialEderMethods: Secondary Analysis  Fonts UsedDesign Template Slide Titles Oh+'0H `h    $08Methods: Secondary AnalysistDepartment of Emergency MedictDepartment of Em?( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Romanbbv 0b( 0DArialNew Romanbbv 0b( 00" ` .  @n?" dd@  @@`` (   `1?`33@B:2___PPT9/ 0? %O =AMethods: Secondary Analysis<000HMOI recorded as Blunt or Penetrating Golden Hour = 60 min. from est. injury time Surgeries immediately after ED disposition Reported multiple surgeries per given pt. Mortality recorded at 48-hours Statistical analysis: SPSS v.10, EpiInfo Descriptive statistics Student s t-test, odds ratiosL$ 6$ 6   0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `Qxaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Z[xaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(  0 0 0(   x  c $0`P   x  c $s  H  0޽h ? 33a(r@G 0ergency Medict1paMicrosoft PowerPointcy @@sT@sT.G5_Department of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q15%J %H&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---)i 0-- - @@"Arial0- 33.2 HMMethods:k5kkk`6. 33"--cNcc-33- 33ke\M@@"Arial- 33cc."2 /MSecondary AnalysiskkuvukKk5uk5kl5k.--qA p-- 33cc@"Arial- (cc. 2 -.@"Arial- cc.=2 $MOI recorded as Blunt or Penetratingkd#$2GGN2NGN$GF$\$NN+$N1$UGNG+1G+$NN.@"Arial- (cc. 2 -.@"Arial- cc.H2 +Golden Hour = 60 min. from est. injury timedN$NGN$\NN2$J$FG$r$N#$+2Nq$GG*$##N$N3E$+$rG.@"Arial- (cc. 2 k-.@"Arial- cc.F2 k*Surgeries immediately after ED dispositionUN2NG2$GG$$rrFN$G+G$E$G++G2$U\#N$GNNG$*$NN.@"Arial- (cc. 2 #-.@"Arial- cc.E2 #)Reported multiple surgeries per given pt.\GNN2+GN$rN$*$N#G$GN2NG2$GG$NG1#N%EGN$N+$.@"Arial- (cc. 2 -.@"Arial- cc.+2 Mortality recorded at 48kN2+G#$+E$2GGN2NGN$G+$GF. cc. 2 +-+. cc.2 VhoursNNN2G.@"Arial- (cc. 2 -.@"Arial- cc.*2 Statistical analysis: U+G+$G*$GG#$GNG$FG$F,#$.@"Arial- cc."2 sSPSS v.10, EpiInfoUUUU$G$GG$#UN$$N+N.@"Arial- (cc. 2 KG.@"Arial- cc.*2 KDescriptive statistics \GGG2$N+$EG$G+G+#G+$GG$.@"Arial- (cc. 2 G.@"Arial- cc.2  Students tU+NNGN+$G#+. cc. 2 -*. cc.!2 test, odds ratios+GG*$#NNNG$2G+$NG.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1Pa ՜.+,0    zOn-screen ShowUniversity of Illinois  Times New RomanArialEder'Methods: EU & US DCLHb Trial Designs  Fonts UsedDesign Template Slide Titles Oh+'0P `h    ,8@'Methods: EU & US DCLHb Trial DesignssDepartment of Emergency Medic DDepartment of Emergency Medic D1paMicrosoft PowerPointcy @@`oT@`oT2G]( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New RomanLbbv 0b( 0DArialNew RomanLbbv 0b( 00" ` .  @n?" dd@  @@`` 0   `1?`33@B:2___PPT9/ 0? %O =3&Methods: EU & US DCLHb Trial Designsl'0$0(0$ DCLHb: human hemoglobin solution Randomized, controlled, single-blinded Trauma Centers: 18 US & 32 EU sites Pts: severe traumatic hemorrhagic shock Standard Rx, with DCLHb add-on in ED Fluid limit = 1L before DCLHb in EU trial DCLHb infused prehospital in EU trialB$ P$ P /  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `xaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(`  0b 0 (   d  <1?``d  <1?`d  <1?``d  <1?`  C x axaxa1 ? `     C xbxaxa1 ?  H  0޽h ? 33a(l0 ,$@ (  d  <1?    ZHjjJjJ1?`  55 d  <1?`Pd  <1?P d  <1?    ZjJjJ1?`  55 d  <1?`Pd   <1?P    N1 ?      3 r,dxaxa1 ? @    H  0޽h ? a(rP! e+ 05_Department of Emergency MedicDepartment of Emergency Medic0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW  dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q ՜.+,015% E&@ p &&#TNPP`2OMi & TNPP &&TNPP   p@  - "-- !p@ -- "---A1----Ai----A1----Ai----A 0-- - @@"Arial0- 33.2 MMethods:k5kkk`5. 33"--3N3b-33- 33;d,M@@"Arial- 333b.2 MEU & US55. 333b.$2 DCLHb Trial Designsuu5uK5l65kk5vuk.--qA @-- 333b@"Arial- (3b. 2 -.@"Arial- 3b.72  DCLHb: human hemoglobin solution\\O\N,$NNrGM#NGrNN$NN$N$GM$M+$NN.@"Arial- (3b. 2 -.@"Arial- 3b.42 Randomized, controlled, single\GNNNr$@GN$$GMN+2N$$GM$$F$NN$F. 3b. 2 -*. 3b.2 blindedN$$NNGN.@"Arial- (3b. 2 Z-.@"Arial- 3b.?2 Z%Trauma Centers: 18 US & 32 EU sites N2GNrG$\GN+G2F+$$GG$\U$\$GG$U\#G$+GG$.@"Arial- (3b. 2 !-.@"Arial- 3b.C2 !(Pts: severe traumatic hemorrhagic shockU+G+$$GGEG2G$+2GNrG+$G$NGrN22NFN$G$GNNGG.@"Arial- (3b. 2 -.@"Arial- 3b.02 Standard Rx, with DCLHb addU+GNNG2N$\G$"f#*N$\\N\N$GNN. 3b. 2 -+. 3b.2 on in EDNN$$N$U\.@"Arial- (3b. 2 G.@"Arial- 3b.E2 )Fluid limit = 1L before DCLHb in EU trialN$N$N#$$q$*$K$GM$MG+N2G$\\N\N$$N#U\$+2$G$.@"Arial- (3b. 2 xG.@"Arial- 3b.?2 x%DCLHb infused prehospital in EU trial\\O\N$$N+NGGN#N2GNNGN$+G#$$M$U\$+2$G$.--"System-&TNPP &NANI  D"^jwinswinspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDWF2G0rInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1Pa    pOn-screen ShowUniversity of Illinois Times New RomanArialEderObjectives: Clinical Impact  Fonts UsedDesign Template Slide Titles Oh+'0H `( @/0(  0;[0 0 000$([\{b00 000000000  0=] 0 0 0000 2 3 !A0C0E0G0I0c00000000000000000!%),.:;?]}acdeghijklmnopDTimes New Roman(bbv 0b( 0DArialNew Roman(bbv 0b( 00" ` .  @n?" dd@  @@`` (   `1?`33@B:2___PPT9/ 0? %O =Objectives: Clinical ImpactL 0000Reports frequency and time course of surgery among severe THS pts. Describes surgeries performed Examines Blunt vs. Penetrating MOI, European (EU) vs. US settings Mortality vs. MOI and surgical procedure Suggestions to optimize design of future hemorrhagic shock trials, resuscitation $ Z  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `,xaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zzxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   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What are the most common surgeries? How many in surgery 1 hr. after injury? Do the data differ by MOI or continent? Is there any correlation with mortality? .$ $  0` ̙33` ` ff3333f` 333MMM` f` f` 3>?" dd@,|? " dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `Pxaxa1 ?"P  T Click to edit Master title style! !N  Zxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder0 ZR (  @  Zdxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   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" dd@   " @ `"  n?" dd@   @@``PR    @ ` ` p>> (      `Txaxa1 ?"P  T Click to edit Master title style! !N  ZXJxaxa1 ?"  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB  s *޽h ? 33a( Eder 0 ZR (  @  Zxaxa1 ? @  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sp  01 ?   B  s *޽h ? a(80___PPT10.%5Щ  0 0 0(   x  c $(`P   x  c $@  H  0޽h ? 33a(  0 @(  X  C       S @ @    H  0޽h ? a(80___PPT10.%5`orP 0_0EPSEPS dO)Microsoft PowerPoint SlideMSPresentationPowerPoint.Slide.89q0 3<winspoolMicrosoft XPS Document WriterNe00:Microsoft XPS Document WriterA1X#dXXLetter13DINU"L r SMTJMicrosoft XPS Document WriterInputBinFORMSOURCERESDLLUniresDLLInterleavingOFFImageTypeJPEGMedOrientationPORTRAITCollateOFFResolutionOption1PaperSizeLETTERColorMode24bpp MXDW 1#%  =   --$  --'8@Arial-. (2 VQ Introduction:8o8Coooc8,no8."System --(-zkQ--8@Arial-. (2 EQClinical Issues88y8oo878nozoo.-j@Arial-. ( 2 [4.-j@Arial-. <2 [#Traumatic Hemorrhagic Shock (THS) \:S\S1*S*lR\::\R\*R*c[\SS*1\ld1*).-j@Arial-. 42 associated with high mortalitySSS\S*S2R\'x)1\)\)\[*\:2S))2R.-j@Arial-. ( 2 4.-j@Arial-. 92 !Interventions within Golden Hour *\2S;PS\2*[\S)w)1[)[*t\)\R[*l[\:*.-j@Arial-. ( 2 4.-j@Arial-. 2 Emergent SurgerydS:\S[2*c\9\S:R.-{@Arial-. ( 2 J.-{@Arial-. :2 "Immediately after ED stabilization%vvJQ%J,J&G%J,-J4%Y`%J,JQ$%%BJ,$QQ.-{@Arial-. ( 2 AJ.-{@Arial-. .2 AProven to reduce mortalityY4RGJQ%,Q%4JQQJJ%vQ4,J%%-G.-{@Arial-. ( 2 J.-{@Arial-. =2 $Rationale for Level 1 Trauma Centers`J,%QQJ%J%,Q4%PIHJ%%J%Q4JQvJ%`JQ,J4J.-1#%  =   --$  --'8@Arial-. (2 VQ Introduction:8o8Coooc8,no8."System --(-zkQ--8@Arial-. (2 EQClinical Issues88y8oo878nozoo.-j@Arial-. ( 2 [4.-j@Arial-. <2 [#Traumatic Hemorrhagic Shock (THS) \:S\S1*S*lR\::\R\*R*c[\SS*1\ld1*).-j@Arial-. 42 associated with high mortalitySSS\S*S2R\'x)1\)\)\[*\:2S))2R.-j@Arial-. 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